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自体脂肪移植后乳房瘘管修复：1例报告

Breast fistula repair after autologous fat graft: a case report.

作者信息

Klinger Francesco Maria, Caviggioli Fabio, Forcellini Davide, Vinci Valeriano, Maione Luca, Pajardi Giorgio, Klinger Marco

机构信息

Università degli Studi di Milano and MultiMedica Holding S.p.A., U.O.C Chirurgia Plastica 2, Via Milanese, 300-20099 Sesto San Giovanni, Milano, Italy.

出版信息

Case Rep Med. 2011;2011:547387. doi: 10.1155/2011/547387. Epub 2011 Jun 7.

DOI:10.1155/2011/547387
PMID:21687540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3114542/
Abstract

We report the case of a 55-year-old female patient who attended our clinic for the presence of a scar retraction in the upper pole of the left breast as a complication of breast augmentation. In the scar area, we observed an orifice that probing revealed to be a fistula. The patient was referred to surgical intervention under general anesthesia to obtain scar contracture release using autologous fat graft; one month after autologous fat injection, following healing of the fistula, the patient underwent a second surgical procedure to replace the left breast implant. Unexpectedly, two weeks after the surgical procedure, complete healing of the breast fistula within the scar area was observed; this observation was confirmed during the second surgical step for left breast implant repositioning, when we observed the absence of the fistula orifice in the breast implant cavity. Upon clinical examination at 1-year followup, tissue integrity was preserved. The patient's satisfaction was excellent. We have observed a possible additional effect of fat graft.

摘要

我们报告了一例55岁女性患者的病例，该患者因左侧乳房上极瘢痕挛缩作为隆胸并发症前来我们诊所就诊。在瘢痕区域，我们观察到一个开口，探查发现这是一个瘘管。患者在全身麻醉下接受手术干预，采用自体脂肪移植进行瘢痕挛缩松解；自体脂肪注射一个月后，瘘管愈合，患者接受了第二次手术以更换左侧乳房植入物。出乎意料的是，手术后两周，观察到瘢痕区域内的乳房瘘管完全愈合；在左侧乳房植入物重新定位的第二次手术步骤中得到了证实，当时我们在乳房植入物腔中未观察到瘘管开口。在1年随访的临床检查中，组织完整性得以保留。患者满意度极佳。我们观察到了脂肪移植可能的额外效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/b1dc0e9013cd/CRIM2011-547387.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/85f686af0d41/CRIM2011-547387.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/12e436db38f6/CRIM2011-547387.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/98ac5c08ebad/CRIM2011-547387.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/102a360c68cc/CRIM2011-547387.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/b1dc0e9013cd/CRIM2011-547387.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/85f686af0d41/CRIM2011-547387.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/12e436db38f6/CRIM2011-547387.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/98ac5c08ebad/CRIM2011-547387.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/102a360c68cc/CRIM2011-547387.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c55/3114542/b1dc0e9013cd/CRIM2011-547387.005.jpg

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Treatment of chronic posttraumatic ulcers using autologous fat graft.
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Fat injection for cases of severe burn outcomes: a new perspective of scar remodeling and reduction.脂肪注射用于严重烧伤病例的治疗效果：瘢痕重塑与减轻的新视角
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Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells.脂肪抽吸物移植用于放射治疗组织损伤的临床治疗：由脂肪来源的成体干细胞介导的愈合过程。
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